Provider Demographics
NPI:1649616111
Name:AMERICARE MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:AMERICARE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LESAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-460-5118
Mailing Address - Street 1:1079 CAPITAL WAY
Mailing Address - Street 2:
Mailing Address - City:MANNING
Mailing Address - State:SC
Mailing Address - Zip Code:29102-6431
Mailing Address - Country:US
Mailing Address - Phone:803-460-5118
Mailing Address - Fax:
Practice Address - Street 1:1079 CAPITAL WAY
Practice Address - Street 2:
Practice Address - City:MANNING
Practice Address - State:SC
Practice Address - Zip Code:29102-6431
Practice Address - Country:US
Practice Address - Phone:803-460-5118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance